NEW MEMBERSHIP

Company

Name of Company / Firm _____________________________________________________________________

Name of Contact _____________________________          Function_____________________________________

Business Address ___________________________________________________________________________

_____________________________________________________            Tel.____________________________

E-mail  _______________________________                                            Fax.____________________________

Main line(s) of business ______________________________________________________________________

                                                                                                                                   
The above Firm wishes to be admitted an Ordinary Member of the Maltese French Chamber of Commerce and undertakes to be bound by the Statute and any other Rules and Regulations for the time being in force.

Membership fees:

LM 20 per year

DATE ____________________________    NAME IN FULL  ______________________________

SIGNATURE  ______________________________________